TY - JOUR
T1 - Is it safe to perform completion lobectomy after diagnostic wedge resection using video-assisted thoracoscopic surgery?
AU - Holbek, Bo Laksáfoss
AU - Petersen, René Horsleben
AU - Hansen, Henrik Jessen
PY - 2016/4/1
Y1 - 2016/4/1
N2 - OBJECTIVES: The objective of this study was to assess the safety of video-assisted thoracoscopic surgery (VATS) completion lobectomy (CL) for non-small cell lung cancer (NSCLC) after diagnostic wedge resection by comparing with standard VATS lobectomy (SL).METHODS: Data were retrieved from an institutional database of consecutive VATS lobectomies between January 1st 2007 and December 31st 2013. Patients were grouped into CL or SL. Patient characteristics, operative data, converted procedures, complications, and mortality was compared using Pearson Chi square, Fisher's exact test, or Mann-Whitney U test.RESULTS: In total 80 CL and 958 SLs were performed. There were no significant differences in median operating time, median chest drain duration or median length of stay. Median operative bleeding was 100 mL (IQR 50-238) in the CL group compared to 75 mL (IQR 25-200) in the SL group (p = 0.01). There were no differences between groups in major or minor complications. Median time from VATS wedge resection to CL was 33 days (IQR 27-41). Conversion rate was 1.3% in the CL group and 2.6% in the SL group (p = 0.72). 30-day mortality was 0 vs. 1.1 % for the CL group and the SL group accordingly (p > 0.99).CONCLUSIONS: This study comparing short-term surgical outcome and complications after surgical treatment of NSCLC indicates that VATS completion lobectomy after diagnostic wedge resection seems safe when looking at a relatively short time interval between the two procedures.
AB - OBJECTIVES: The objective of this study was to assess the safety of video-assisted thoracoscopic surgery (VATS) completion lobectomy (CL) for non-small cell lung cancer (NSCLC) after diagnostic wedge resection by comparing with standard VATS lobectomy (SL).METHODS: Data were retrieved from an institutional database of consecutive VATS lobectomies between January 1st 2007 and December 31st 2013. Patients were grouped into CL or SL. Patient characteristics, operative data, converted procedures, complications, and mortality was compared using Pearson Chi square, Fisher's exact test, or Mann-Whitney U test.RESULTS: In total 80 CL and 958 SLs were performed. There were no significant differences in median operating time, median chest drain duration or median length of stay. Median operative bleeding was 100 mL (IQR 50-238) in the CL group compared to 75 mL (IQR 25-200) in the SL group (p = 0.01). There were no differences between groups in major or minor complications. Median time from VATS wedge resection to CL was 33 days (IQR 27-41). Conversion rate was 1.3% in the CL group and 2.6% in the SL group (p = 0.72). 30-day mortality was 0 vs. 1.1 % for the CL group and the SL group accordingly (p > 0.99).CONCLUSIONS: This study comparing short-term surgical outcome and complications after surgical treatment of NSCLC indicates that VATS completion lobectomy after diagnostic wedge resection seems safe when looking at a relatively short time interval between the two procedures.
KW - Aged
KW - Carcinoma, Non-Small-Cell Lung/surgery
KW - Databases, Factual
KW - Female
KW - Humans
KW - Length of Stay
KW - Lung Neoplasms/surgery
KW - Male
KW - Middle Aged
KW - Operative Time
KW - Patient Safety
KW - Pneumonectomy/adverse effects
KW - Psychosurgery/methods
KW - Thoracic Surgery, Video-Assisted/adverse effects
U2 - 10.1007/s11748-016-0633-4
DO - 10.1007/s11748-016-0633-4
M3 - Journal article
C2 - 26914890
SN - 1863-6705
VL - 64
SP - 203
EP - 208
JO - General Thoracic and Cardiovascular Surgery
JF - General Thoracic and Cardiovascular Surgery
IS - 4
ER -
